lundi 13 juillet 2015

Basics On Gastric Banding Surgery Nj Residents May Find Interesting

By Olive Pate


Obesity continues to be a major challenge all over the world including Englewood, nj. With an increasing number of people leading sedentary lifestyles, the problem is likely to be with us for a long time. Engaging in physical activities and eating a healthy diet are some of the methods that have been adopted to help deal with the problem. Surgery has been helpful to a good number of patients that fail to respond to the conservative methods. There are some basic facts on gastric banding surgery nj residents may want to know.

The procedure is a minimally invasive surgery that is aimed at reducing the capacity of the stomach. With a reduction in this size, less food is required to fill it hence persons that have been operated on achieve satiety earlier than previously. Most of the food that is consumed is channelled by the body towards energy provision and very little is stored as adipose tissue. Over time, there is net weight loss.

The ideal candidate for this operation is a person whose body mass index is more than 40 or weighs 45 kg more than their ideal weight. A lower BMI of between 35 and 40 is accepted if there is a medical condition contributing to the excessive weight. This often happens in the case of hypertension or diabetes. The candidate must be over 18 years of age and should have attempted the conventional methods of weight loss.

There are minor variations between centres with regard to the preparation that has to be undertaken. In most cases, one is asked to modify their diet and frequency of eating in preparation for their new lifestyle. You may be asked to eat smaller portions frequently than few large meals. It is also important to avoid high calorie foods that are likely to increase body weight. If there are any underlying medical conditions, they should be treated before the surgery.

During the surgery, you will be put under general anaesthesia so you probably will not get to see what exactly is done. Some centres may provide you with a video of events if you so wish so that you get the chance to relive the moment. Typically, three small entry points are made on the abdominal wall to be used for the entry of instruments. The main instrument used here is the laparoscope and this will be inserted into one of the entry points.

In this surgery, no actual cutting of tissues takes place. Instead, a silicon band is used to achieve the desired effect. This band is put on the upper part of the stomach. The compression effect created leaves a small pouch for a stomach. Consequently, only a small amount of food is required to fill it up. Adjustments may be made depending on the initial size and the desired size.

There are a number of side effects that have been reported. In the immediate post operative period, patients may complain of vomiting, nausea and abdominal discomfort due to ulceration of the band site. Other side effects include oesophageal reflux, weight regain, dyspepsia, constipation and malabsorption of some vitamins.

In general, there are very few complications with mortality of just about 1 in 2000. The success of the operation depends greatly on the skill of attending surgeons. The most important thing to remember is that the operation cannot completely substitute the conventional methods of weight loss. Rather, it should be used as a complementary measure.




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